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March312017

The Aesthetic Medicine Patient-Centered Consult

Botox montréalFrequently the "bean counters" are telling us how we are falling short. They come track of some scheme to obtain us to determine more patients than we are able to reasonably see or how you can "create" more procedures than are called for. This is bottom-line or practice-centered medicine and in my estimation is unethical and immoral. It is also outside of what we are called to complete and is unnecessary and counter to some healthy practice. Things i believe builds a healthy practice and it is simply at the heart of doing what is suitable for patients, is the patient-centered consult. This type of consult is designed to arrive at the cause of a person's issues and do all one can do to help them achieve their health and aesthetic goals.

médecine esthétiqueWithin this age of population-based medicine we have all learned to do the minimum, but that doesn't alter the proven fact that our patients are worried about optimal health and wellness and results. Olympic athletes don't win their contests by training towards the minimum nor will our patients be served by supplying the minimum.

It comes down to gaining a detailed knowledge of exactly what the patient's concerns are, not what treatments they're thinking about. Most aesthetic patients come in thinking they are fully aware what they want. As an example many think they require a maximum lid blepharoplasty what they need is a brow lift. Other are available in asking about fillers however , need Botox or the other way around. The understanding of what they are concerned about is located not by asking what they are interested in but rather, what their concerns are. We start inside a conversational manner. Usually someone will start by saying something similar to "I think I need Botox the following." My answer is generally something similar to, "Well, that is certainly something we can do, what one thing makes you want Botox?" The following several questions are fond of helping the patient concentrate on the real issues behind the concerns such as texture, tone, tightness, wrinkles, poor size, volume etc.

I use a consult tool I call the $10,000 mirror. There exists a simple reflect that has no magnification somewhere and three to five times magnification alternatively. I hand it towards the patient with the magnified side facing them. The interesting thing is that most people when given the mirror will start looking very intently at themselves and even start picking and brushing at things on their face. I then possess a checklist of items I question them about. We go through the checklist item by item and discuss its effect on the general appearance of the face. Once this really is completed, I formulate a plan of all that can be done on their behalf, which will include a few things i can perform but also things others may be able to do. For example, I don't do face lifts, however, if the result they're after is better served by a face-lift, I put that of the routine. It's rare that we avoid the majority of the things they may benefit from.